# MARILYN ANGELA RECKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437176443
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10000383 | IN | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 01/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000639294 | BC/BS | IN |
| 01 | — | 000000659918 | BC/BS | IN |
| 05 | — | 0074547 | — | OH |
| 01 | — | P00775307 | RAILROAD MEDICARE | IN |